Males, Darlene

Males, Darlene was paid $138K by Medicaid between May 2018 and Jan 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoMALES, DARLENE
WAKEFIELD, RI 02879

33aNPI1821599101assigned 02/22/2018

33bProvider typeFamily Nurse Practitioner

28Total paid$138K

24GClaims3,191

24DCodes billed4

24AFirst – last monthMay 2018 – Jan 2021

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#43 of 266

Median peer was paid$31K

This provider vs. median4.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,378	$59K
2019	1,497	$64K
2020	300	$14K
2021	16	$892.94

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	60%	1,702	1,414	$83K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	39%	1,459	1,322	$53K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	17	15	$605.99
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	12	$588.30

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.